The following forms can be downloaded and printed. Please fill out the forms and bring in all required documents to the clinic to establish a new chart. If you have any questions, please call 505-908-2307.


Do Not Email forms back to clinic, they will not be accepted.

New Patient Forms

CBNHC New Patient Registration Packet 2021

Click Here For Forms



Click Here For Pamphlet

 Covid-19 Vaccine and Testing Available - Health & Safety Tips